Provider Demographics
NPI:1245861905
Name:MAZZA, GABRIELLE FRANCISCA (DROT, OTR/L)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:FRANCISCA
Last Name:MAZZA
Suffix:
Gender:F
Credentials:DROT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 STONY WAY
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4213
Mailing Address - Country:US
Mailing Address - Phone:267-278-2180
Mailing Address - Fax:
Practice Address - Street 1:351 E JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-2020
Practice Address - Country:US
Practice Address - Phone:247-070-4484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016168225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist